Leave And License Agreement Template Page 5

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LEAVE AND LICENSE AGREEMENT
Name & Address
Photo
Thumb
Digitally
Impression
Signed
Licensee
Name :
UID:
Photo
Thumb
Address:
Licensor
Name :
UID:
Photo
Thumb
Address:
Witness of execution -cum- identifier for
Name :
UID :
Photo
Thumb
Address:
Witness of execution -cum- identifier for
Name :
UID :
Photo
Thumb
Address:

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